Spine Tumor Surgery Cost(Intramedullary spinal tumor Surgery) in India
Spine Tumor Surgery Cost(Intramedullary spinal tumor Surgery) in India
Patient - 7 days stay in a single room.
Cost of Surgery,
Consultation by Primary Team in Package days,
Routine Pharmacy and Consumables,
Operation Theatre Charges.
Pharmacy Services Charges including Drugs &Medical Consumables
1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is spinal tumor or Intramedullary Tumor?
A spinal tumor or Intramedullary Tumor is a growth that develops within your spinal canal or within the bones of your spine. A spinal cord tumor, also called an intradural tumor, is a spinal tumor that that begins within the spinal cord or the covering of the spinal cord (dura). A tumor that affects the bones of the spine (vertebrae) is called a vertebral tumor. Spinal cord tumors may be classified as one of three different types depending on where they occur relative to the protective membranes of the spinal cord.
These are the main types of intradural tumors:
Intramedullary tumors begin in the cells within the spinal cord itself, such as gliomas, astrocytomas or ependymomas.
Extramedullary tumors grow in either the membrane surrounding the spinal cord or the nerve roots that reach out from the spinal cord. Although they don't begin within the spinal cord itself, these types of tumors may affect spinal cord function by causing spinal cord compression and other problems. Examples of extramedullary tumors that can affect the spinal cord include meningiomas, neurofibromas, schwannomas and nerve sheath tumors.
Tumors from other parts of the body can spread (metastasize) to the vertebrae, the supporting network around the spinal cord or, in rare cases, the spinal cord itself. Spinal tumors or growths of any kind can lead to pain, neurological problems and sometimes paralysis. A spinal tumor can be life-threatening and cause permanent disability. Treatment for a spinal tumor may include surgery, radiation therapy, chemotherapy or other medications.
Causes of spinal tumor
It's not clear why most spinal tumors develop. Experts suspect that defective genes play a role. But it's usually not known whether such genetic defects are inherited or simply develop over time. They might be caused by something in the environment, such as exposure to certain chemicals. In some cases, however, spinal cord tumors are linked to known inherited syndromes, such as neurofibromatosis 2 and von Hippel-Lindau disease.
Symptoms of spinal tumor
Signs and symptoms may include:
Pain at the site of the tumor due to tumor growth
Back pain, often radiating to other parts of your body
Feeling less sensitive to pain, heat and cold
Loss of bowel or bladder function
Difficulty walking, sometimes leading to falls
Back pain that's worse at night
Loss of sensation or muscle weakness, especially in your arms or legs
Muscle weakness , which may be mild or severe, in different parts of your body
Back pain is a common early symptom of spinal tumors. Pain may also spread beyond your back to your hips, legs, feet or arms and may worsen over time — even with treatment.
Spinal tumors progress at different rates depending on the type of tumor.
When to see a doctor
There are many causes of back pain, and most back pain isn't caused by a tumor. But because early diagnosis and treatment are important for spinal tumors, see your doctor about your back pain if:
It's persistent and progressive
It's not activity related
It gets worse at night
You have a history of cancer and develop new back pain
You have other symptoms of cancer, such as nausea, vomiting or dizziness
Seek immediate medical attention if you experience:
Progressive muscle weakness or numbness in your legs or arms
Changes in bowel or bladder function
Spinal cord tumors are more common in people who have:
Neurofibromatosis 2. In this hereditary disorder, benign tumors develop on or near the nerves related to hearing. This may lead to progressive hearing loss in one or both ears. Some people with neurofibromatosis 2 also develop spinal canal tumors.
Von Hippel-Lindau disease. This rare, multisystem disorder is associated with blood vessel tumors (hemangioblastomas) in the brain, retina and spinal cord and with other types of tumors in the kidneys or adrenal glands.
Spinal tumors can compress spinal nerves, leading to a loss of movement or sensation below the location of the tumor. This can sometimes cause changes in bowel and bladder function. Nerve damage may be permanent.
However, if caught early and treated aggressively, it may be possible to prevent further loss of function and regain nerve function. Depending on its location, a tumor that presses against the spinal cord itself may be life-threatening.
Diagnosis spinal tumor
If your doctor suspects a spinal tumor, these tests can help confirm the diagnosis and pinpoint the tumor's location:
Spinal magnetic resonance imaging (MRI). MRI uses a powerful magnetic field and radio waves to produce accurate images of your spine, spinal cord and nerves. MRI is usually the preferred test to diagnose tumors of the spinal cord and surrounding tissues. A contrast agent that helps highlight certain tissues and structures may be injected into a vein in your hand or forearm during the test.
Computerized tomography (CT). This test uses a narrow beam of radiation to produce detailed images of your spine. Sometimes it's combined with an injected contrast dye to make abnormal changes in the spinal canal or spinal cord easier to see. A CT scan is only rarely used to help diagnose spinal tumors.
Biopsy. The only way to determine the exact type of a spinal tumor is to examine a small tissue sample (biopsy) under a microscope. The biopsy results will help determine treatment options.
Treatment for spinal tumor
Ideally, the goal of spinal tumor treatment is to eliminate the tumor completely, but this goal may be complicated by the risk of permanent damage to the spinal cord and surrounding nerves. Doctors also must take into account your age and overall health. The type of tumor and whether it arises from the structures of the spine or spinal canal or has spread to your spine from elsewhere in your body also must be considered in determining a treatment plan.
Treatment options for most spinal tumors include:
Monitoring. Some spinal tumors may be discovered before they cause symptoms — often when you're being evaluated for another condition. If small tumors aren't growing or pressing on surrounding tissues, watching them carefully may be all that's needed. During observation, your doctor will likely recommend periodic CT or MRI scans at an appropriate interval to monitor the tumor.
Surgery.This is often the treatment of choice for tumors that can be removed with an acceptable risk of spinal cord or nerve injury damage. Newer techniques and instruments allow neurosurgeons to reach tumors that were once considered inaccessible. The high-powered microscopes used in microsurgery make it easier to distinguish tumor from healthy tissue. Doctors also can monitor the function of the spinal cord and other important nerves during surgery, thus minimizing the chance of injuring them. In some instances, very high-frequency sound waves might be used during surgery to break up tumors and remove the fragments. But even with the latest technological advances in surgery, not all tumors can be totally removed. When the tumor can't be removed completely, surgery may be followed by radiation therapy or chemotherapy or both. Recovery from spinal surgery may take weeks or longer, depending on the procedure. You may experience a temporary loss of sensation or other complications, including bleeding and damage to nerve tissue.
Radiation therapy. This may be used to eliminate the remnants of tumors that remain after surgery, to treat inoperable tumors or to treat those tumors where surgery is too risky. Medications may help ease some of the side effects of radiation, such as nausea and vomiting. Sometimes, your radiation therapy regimen may be adjusted to help minimize the amount of healthy tissue that's damaged and to make the treatment more effective. Modifications may range from simply changing the dosage of radiation to using sophisticated techniques such as 3-D conformal radiation therapy.
Chemotherapy. A standard treatment for many types of cancer, chemotherapy uses medications to destroy cancer cells or stop them from growing. Your doctor can determine whether chemotherapy might be beneficial for you, either alone or in combination with radiation therapy. Side effects may include fatigue, nausea, vomiting, increased risk of infection and hair loss.
Other drugs. Because surgery and radiation therapy as well as tumors themselves can cause inflammation inside the spinal cord, doctors sometimes prescribe corticosteroids to reduce the swelling, either after surgery or during radiation treatments. Although corticosteroids reduce inflammation, they are usually used only for short periods to avoid serious side effects such as muscle weakness, osteoporosis, high blood pressure, diabetes and an increased susceptibility to infection.
It takes at least 3 to 4 months after surgery for bones to heal well, and healing may continue for at least a year. If you had spinal fusion, you will probably be off work for 4 to 6 weeks if you are young and healthy and your job is not very strenuous.
Although more than 50% of primary spinal surgeries are successful, no more than 30%, 15%, and 5% of the patients experience a successful outcome after the second, third, and fourth surgeries, respectively.
Intramedullary spinal tumors can arise anywhere in the spinal cord, from the cervicomedullary junction to the filum terminale. Spinal ependymomas are found most frequently in the cervical cord, presumably because it contains more neural tissue than the thoracic or lumbar segments.
After surgery, you can expect your back to feel stiff and sore. You may have trouble sitting or standing in one position for very long and may need pain medicine in the weeks after your surgery. It may take 4 to 6 weeks to get back to doing simple activities, such as light housework.
You should tell your employer you will be out of work for approximately 8 to 12 weeks but may be able to return earlier than that. Walking is the best activity you can do for the first 6 weeks after surgery. You should start out slowly and work up to walking 30 minutes at least twice a day.
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